Vermont Power of Attorney Template
This Power of Attorney is a legal document in which the principal grants an agent the authority to act in their place for certain financial or health-related decisions in accordance with Vermont law.
Principal Information:
- Full Name: ___________________________________
- Address: _____________________________________
- City: __________________ State: VT Zip: ________
- Phone Number: _______________________________
Agent Information:
- Full Name: ___________________________________
- Address: _____________________________________
- City: __________________ State: VT Zip: ________
- Phone Number: _______________________________
Alternate Agent Information (Optional):
- Full Name: ___________________________________
- Address: _____________________________________
- City: __________________ State: VT Zip: ________
- Phone Number: _______________________________
In compliance with the relevant state-specific laws, specifically the Vermont Uniform Power of Attorney Act, the principal nominates the above-named agent to act on their behalf. This document grants the agent the powers to perform on behalf of the principal the following:
- Real property transactions
- Tangible personal property transactions
- Stock and bond transactions
- Commodity and option transactions
- Banking and other financial institution transactions
- Business operating transactions
- Insurance and annuity transactions
- Estate, trust, and other beneficiary transactions
- Claims and litigation
- Personal and family maintenance
- Benefits from social security, Medicare, Medicaid, or other governmental programs, or military service
- Retirement plan transactions
- Tax matters
This Power of Attorney becomes effective immediately unless otherwise specified here: _______________________________________________________________.
If the agent is unable or unwilling to serve, the principal nominates the above-named alternate agent to serve with the same powers and subject to the same conditions.
The powers granted by this document are subject to revocation by the principal at any time, providing the revocation is in writing and communicated to the acting agent(s).
This document must be signed in the presence of a notary public or two witnesses to be legally binding.
Principal's Signature: _______________________________ Date: ______________
Agent's Signature: _________________________________ Date: ______________
Alternate Agent's Signature (If applicable): __________ Date: ______________
This document was prepared on the date indicated above and is effective immediately unless a different date has been indicated by the principal.